Raquette Lake Fire Department Inc
Organization Active NPI Ambulance · Raquette Lake, NY
NPI 1962492421 · NPPES record last updated Apr 15, 2010
Key facts
- NPI
- 1962492421
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2017 (NY)
- Legal business name
- RAQUETTE LAKE FIRE DEPARTMENT INC
- Practice address
- 171 Route 28
Raquette Lake, NY 13436-0160 - Phone
- (315) 354-4644
- Fax
- (315) 354-5069
- NPI assigned
- Oct 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (860) 257-9201
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2017 | NY | Yes |
Addresses
Primary practice location
171 Route 28
Raquette Lake, NY 13436-0160
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-9201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00076421 | Other | RAILROAD MEDICARE |
Other providers in Raquette Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.